| NPI | 1154059079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14555) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 20222057) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2025-09-08 |