| NPI | 1023567559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP12795) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6080) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2019-02-14 |