| NPI | 1528442928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14365) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5343) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2021-10-07 |