NPI | 1437693041 |
---|---|
Former Name | ALISON FAIRCHILD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP8683) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004057) |
Enumeration Date | 2016-12-15 |
Last Update Date | 2016-12-15 |