| NPI | 1487200507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 264513) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20191143-SP) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-01-14 |