| NPI | 1942749445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH CI1020084) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP5834) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |