NPI | 1043636319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 10140) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 14031377) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2018-09-04 |