| NPI | 1063119956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15321) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20222012-SP) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-04-20 |