| NPI | 1720655277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14807) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20211641-SP) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2026-02-03 |