| NPI | 1760015267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC SLP.8436) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP13391) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2026-03-12 |