| NPI | 1568010189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14050) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2019956-SP) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2021-05-04 |