| NPI | 1578016267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP15207) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SP15207) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2024-06-17 |