NPI | 1033210976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP7624) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY2961) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2020-03-02 |