| NPI | 1215379821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP11097) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012119) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 11439) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2025-05-15 |