| NPI | 1366032583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.16353) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA24070) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2025-10-02 |