| NPI | 1982151502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13462) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 9437288-4102) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-05-21 |