NPI | 1487181764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH sp-12989) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 2017227-SP) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2018-07-31 |