| NPI | 1700424975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13802) |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |