NPI | 1215334479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001513) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10968) |
Enumeration Date | 2014-12-03 |
Last Update Date | 2014-12-03 |