NPI | 1366824021 |
---|---|
Former Name | SARA KNOLLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 14065880) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4148-154) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2018-10-29 |