| NPI | 1942431879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9769) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 9635) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2013-01-28 |