| NPI | 1619455821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13435) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND2018762SP) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2020-01-07 |