NPI | 1326415811 |
---|---|
Former Name | CYNTHIA LEI DESANTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP7622) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH OH1330652) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2015-08-31 |