NPI | 1124381678 |
---|---|
Former Name | COURTNEY A SMARANDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10788) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND. 2012244-SP) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2023-01-09 |