| NPI | 1891162012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12100) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2015186-SP) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2017-06-25 |