| NPI | 1619585395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 008009) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 10605) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-08-25 |