| NPI | 1669075289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12313) |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-07-29 |