NPI | 1366096042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13931) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
235Z00000X Speech-Language Pathologist, (Licence: OH COND.20191087-SP) | |
Enumeration Date | 2019-07-30 |
Last Update Date | 2020-06-04 |