| NPI | 1962845701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP9886) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH 12142494) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2020-05-11 |