| NPI | 1508588716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20222214-SP) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: OH 1134548829) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |