| NPI | 1649977976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 1396158-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.16847) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2026-04-20 |