| NPI | 1215562426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13552) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA sl016094) |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2024-11-16 |