| NPI | 1003544594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14137) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 21741062) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |