| NPI | 1649828674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14139) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 20191100-SP) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2020-10-29 |