| NPI | 1154003036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 16065) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02733L) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-07-09 |