| NPI | 1023485760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117256) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP1140) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2025-11-12 |