| NPI | 1063163830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14899) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20211797-SP) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2023-02-27 |