NPI | 1760894109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 284951) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2014241-SP) |
Enumeration Date | 2014-05-20 |
Last Update Date | 2023-05-11 |