NPI | 1376050906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13328) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2017579.SP) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2020-07-23 |