| NPI | 1730814286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27840) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13153) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-10-31 |