NPI | 1508310483 |
---|---|
Former Name | JANELLE LYNN ZARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 12894) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV P/SLP-0673) |
Enumeration Date | 2016-08-09 |
Last Update Date | 2018-10-08 |