| NPI | 1891171591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12067) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2015305-SP) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2018-07-30 |