NPI | 1295252203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 2017233) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13102) |
Enumeration Date | 2017-08-30 |
Last Update Date | 2019-07-01 |