| NPI | 1669927935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 10383) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 570387) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS S4018) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2022-08-25 |