| NPI | 1891970612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102274) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 8298) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2018-06-18 |