| NPI | 1790267441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13631) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2018837-SP) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2021-10-02 |