| NPI | 1518567486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20201585-SP) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2023-07-06 |