NPI | 1447892666 |
---|---|
Former Name | KATELYN ELIZABETH MCGOUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20191156-SP) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2025-09-24 |