NPI | 1497348338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14708) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20201604-SP) |
Enumeration Date | 2021-02-11 |
Last Update Date | 2022-02-23 |