| NPI | 1396093134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10946) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND. 2013029) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2021-03-16 |