| NPI | 1245905645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15281) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011643) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2024-09-03 |