| NPI | 1114502457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-160185) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2025-05-13 |