| NPI | 1942612221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH 11613) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH 2014211) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2016-12-12 |