| NPI | 1255097341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15604) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 118953) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2023-08-11 |