| NPI | 1780209502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14331) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20201358-SPw) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL017001) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-08-15 |