NPI | 1154721082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP11668) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2014299-SP) |
235Z00000X Speech-Language Pathologist, (Licence: CA SP23223) | |
Enumeration Date | 2014-08-28 |
Last Update Date | 2020-07-17 |