NPI | 1255932554 |
---|---|
Former Name | SAMANTHA A KOHLS |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14340) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND2020145-SP) |
Enumeration Date | 2020-11-03 |
Last Update Date | 2025-01-28 |