NPI | 1114340270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 12154313) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.9717) |
Enumeration Date | 2014-01-27 |
Last Update Date | 2014-01-27 |