| NPI | 1437438751 |
|---|---|
| Former Name | TRISHA DEE RIESKAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.8686) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-3546) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |