| NPI | 1538561840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH OH3201533) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11748) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2019-09-11 |