| NPI | 1194921940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.09056) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH Cond. 2007127) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-05-04 |