| NPI | 1124318365 |
|---|---|
| Former Name | CARRIE SHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12435) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9092) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2018-03-28 |