| NPI | 1972786390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17110) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.8823) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2015-01-06 |