| NPI | 1154099505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14925) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20211778-SP) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-08-29 |