NPI | 1063903367 |
---|---|
Former Name | MICHELLE KOMOROWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH Sp.13399) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH sp-13399) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2021-11-18 |