| NPI | 1184865016 |
|---|---|
| Former Name | SHASTA NICOLE PRESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP9095) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2025-08-22 |