| NPI | 1881145472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH Sp.12817) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND. 2017041) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2021-08-17 |