| NPI | 1720646714 |
|---|---|
| Former Name | ELIZABETH DIVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13487) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH sp-13487) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-01-20 |