| NPI | 1407248057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12110) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH Sp3573) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2024-08-12 |