| NPI | 1164197216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14885) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH cond.20211692-SP) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2022-07-13 |