| NPI | 1912343997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10286) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8413) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |