| NPI | 1083030308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH COND 2013318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008390) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2023-02-28 |