| NPI | 1093194680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 032011) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10846) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2023-02-02 |