| NPI | 1538607536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12868) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2017193-SP) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2022-03-07 |