NPI | 1487956496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 16452) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 8676) |
Enumeration Date | 2010-11-23 |
Last Update Date | 2018-11-14 |