| NPI | 1477100840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14251) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20191187-SP) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-04-13 |