| NPI | 1952680696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11081) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8751) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2018-01-24 |