| NPI | 1003320961 |
|---|---|
| Former Name | SHANNA RENEE BODNAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013370) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11533) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |