NPI | 1255097341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15604) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 118953) |
Enumeration Date | 2021-11-12 |
Last Update Date | 2023-08-11 |