| NPI | 1790295699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014198) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2017541-SP) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-09-21 |