| NPI | 1750752606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12307) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND..2016015-SP) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2017-01-17 |