NPI | 1235682923 |
---|---|
Former Name | HALIE MICHELLE CULLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12710) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2016329) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2020-11-25 |