| NPI | 1487989075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10029) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND2010036) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2018-03-17 |