NPI | 1255932554 |
---|---|
Entity Type | Individual |
Gender | Female |
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 | 2023-11-29 |