NPI | 1063506327 |
---|---|
Former Name | ABBE NICOLE RISER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.08198) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP8198) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2018-03-17 |