| NPI | 1982121430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13018) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2017498-SP) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2021-11-18 |