| NPI | 1245814334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004831) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15158) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2026-03-04 |