| NPI | 1174753529 |
|---|---|
| Former Name | SYDNEY MATTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.09290) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-9290) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2020-07-17 |