| NPI | 1104351873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011763) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12816) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2025-01-22 |