| NPI | 1043636319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 10140) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 14031377) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2018-09-04 |