| NPI | 1659838241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP.13808) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: OH COND.2017424-SP) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2021-09-16 |