| NPI | 1134675648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 175167) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12827) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2024-07-31 |