| NPI | 1629204730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.09591) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 2009206-SP) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2022-09-14 |