NPI | 1295965663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14422) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 558899-1) |
Enumeration Date | 2009-07-20 |
Last Update Date | 2022-06-10 |