| NPI | 1700291432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP11576) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 2014298) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2021-07-29 |