NPI | 1770030264 |
---|---|
Former Name | ERIKA TOLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP12590) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH Cond.2017004-SP) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2020-07-17 |