NPI | 1063983070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13532) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08894) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2019-12-04 |