| NPI | 1861963787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2018919-SP) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-04-21 |