| NPI | 1629586680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 13012) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2017356-SP) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-09-14 |