| NPI | 1578868923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10091) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2011092-SP) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2024-01-16 |