| NPI | 1114781119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20232534) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH 16008) | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-09-10 |