| NPI | 1295453553 |
|---|---|
| Former Name | ALEXANDRA GAIL MASHBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15484) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20222115.SP) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-08-17 |