NPI | 1629698980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13887) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH sp-13887) |
Enumeration Date | 2020-04-16 |
Last Update Date | 2022-01-20 |