NPI | 1134508989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11770) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2015112-SP) |
Enumeration Date | 2015-05-27 |
Last Update Date | 2016-01-25 |