NPI | 1285004259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP11992) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND2015300-SP) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2023-03-25 |