| NPI | 1538673561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13191) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH COND.2017302) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-11-13 |