| NPI | 1790511988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.017881) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15861) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-11-21 |