| NPI | 1306498183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13916) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 20191027-SP) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2020-07-17 |