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 |