NPI | 1235613720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24426065) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2018862-SP) |
235Z00000X Speech-Language Pathologist, (Licence: OH 14858) | |
Enumeration Date | 2018-09-20 |
Last Update Date | 2024-02-26 |