NPI | 1487005633 |
---|---|
Former Name | EMILY JANE RICHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12041) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2015195) |
Enumeration Date | 2016-06-29 |
Last Update Date | 2023-03-23 |