| NPI | 1417317058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP10740) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2020-02-16 |