| NPI | 1568916146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12936) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016022092) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2022-01-19 |