| NPI | 1134872955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14329) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL018243) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2025-11-20 |