NPI | 1164957627 |
---|---|
Former Name | AMY FRANCZAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12564) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2015264-SP) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2018-12-13 |