| NPI | 1982165197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0006096) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12938) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-11-06 |