| NPI | 1003432295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14376) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 264137) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2022-10-03 |