| NPI | 1205226131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-10564) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.026692) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2024-01-25 |