| NPI | 1114750312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15895) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL017867) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |