NPI | 1346503802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP10505) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5461) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2015-06-26 |