NPI | 1275180853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP.13953) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH COND.20191116-SP) |
Enumeration Date | 2019-08-20 |
Last Update Date | 2020-07-21 |