NPI | 1013514785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14304) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 14174) |
Enumeration Date | 2020-10-06 |
Last Update Date | 2024-02-09 |