| NPI | 1164961546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12870) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH COND.2017179-SP) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2026-09-03 |