NPI | 1568825933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11901) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002298) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2016-04-01 |