| NPI | 1063921427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13179) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008364) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-09-28 |