| NPI | 1275180853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13953) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20191116-SP) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2020-07-21 |