| NPI | 1902453194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14082) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH Cond.2019950-SP) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2021-07-01 |