NPI | 1700201290 |
---|---|
Other Name | LAURA NIKKI BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP. 11158) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH COND.2013105-SP) |
Enumeration Date | 2014-02-20 |
Last Update Date | 2017-05-04 |