| NPI | 1104480193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14852) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014491) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2023-07-12 |