| NPI | 1124059522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12442) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH A01568) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-12-14 |