| NPI | 1932443389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP7405) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000006203) |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2024-01-05 |