| NPI | 1639539943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12479) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND. 2016191) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2019-11-26 |