| NPI | 1891163424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP12278) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND. 2016068) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2018-08-15 |