| NPI | 1134508989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11770) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2015112-SP) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2016-01-25 |