NPI | 1235506932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 20211630) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 401541890613) |
Enumeration Date | 2015-08-28 |
Last Update Date | 2021-08-13 |