NPI | 1356522981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-3778) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.3778) |
Enumeration Date | 2007-11-26 |
Last Update Date | 2012-02-01 |