| NPI | 1295257640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 21897213) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2020-09-15 |