| NPI | 1245698851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7755) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2015222SP) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP12322) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2022-08-12 |