| NPI | 1063983070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13532) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08894) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-12-04 |