NPI | 1326631482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13995) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014916) |
Enumeration Date | 2021-02-18 |
Last Update Date | 2021-02-18 |