NPI | 1053711754 |
---|---|
Former Name | JANET LEE NICHOLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 8678) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 1205124) |
235Z00000X Speech-Language Pathologist, (Licence: OH 1204080) | |
Enumeration Date | 2014-08-29 |
Last Update Date | 2014-08-29 |