| NPI | 1063889491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH COND 2016056) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12228) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2021-04-12 |