| NPI | 1285334334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13708) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 6124) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-08-15 |