| NPI | 1891123394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP11907) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 343980) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2022-06-01 |