| NPI | 1043571094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 10745) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2012235-SP) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2019-05-10 |