| NPI | 1639550072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH 12010) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH COND.2015249-SP) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-09-23 |