NPI | 1578115358 |
---|---|
Former Name | JODY M MUSSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP.13911) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH 20191019-SP) |
Enumeration Date | 2019-07-12 |
Last Update Date | 2020-07-23 |