| NPI | 1982835682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA 012664) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 8590) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2016-05-26 |