| NPI | 1447607544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14314) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 247200000X Technician, Other (Licence: MI L260098108234) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2022-02-11 |