| NPI | 1962091777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14737) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20201596-SP) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2022-07-27 |