| NPI | 1467120626 |
|---|---|
| Former Name | AMBER MARIE MACDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20211767-SP) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |