| 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 |