NPI | 1437669785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP13827) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17112) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL SZ8355) | |
Enumeration Date | 2017-10-01 |
Last Update Date | 2020-11-22 |