| NPI | 1942316070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA618) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 3807) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-01-11 |