| NPI | 1306204003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10326) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3760) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2020-12-22 |