| NPI | 1366096042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13931) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20191087-SP) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2020-06-04 |