| NPI | 1740721703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12823) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND 2017186-SP) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2020-05-21 |