| NPI | 1053847012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13717) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000149) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 29569) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-08-27 |