| NPI | 1174332274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006114) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.07456) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-04-16 |