| NPI | 1871917021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP2113) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0004302S) |
| 231H00000X Audiologist (Licence: OH A0411) | |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2017-09-07 |