| NPI | 1710526926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20191261-SP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14268) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2022-12-13 |