NPI | 1255854857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13053) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH sp-13053) |
Enumeration Date | 2017-07-25 |
Last Update Date | 2022-01-20 |