| NPI | 1053829838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15771) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 16560) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2024-03-01 |