| NPI | 1710463591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14348) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2025-0361) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2025-10-30 |