| NPI | 1205619509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15727) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 20222251-SP) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2024-10-17 |