| NPI | 1659088300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 201957) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 14212) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |