| NPI | 1891300661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15664) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-130221) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2023-10-13 |