NPI | 1568916146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12936) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016022092) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2022-01-19 |