NPI | 1265957245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13178) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 174245) |
235Z00000X Speech-Language Pathologist, (Licence: OH 2017450-SP) | |
Enumeration Date | 2017-08-10 |
Last Update Date | 2022-06-30 |