NPI | 1467974014 |
---|---|
Former Name | EMILY MARIE HENDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13079) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2017323) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2022-07-26 |