| NPI | 1194399824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14327) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP32652) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2023-05-09 |