| NPI | 1497355085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-11420) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14638) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH COND.20201555-SP) | |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2023-02-27 |