| NPI | 1033853692 |
|---|---|
| Former Name | BLAKE FISHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14887) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20211810-SP) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-08-14 |