NPI | 1861979346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 251574) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13524) |
235Z00000X Speech-Language Pathologist, (Licence: OH COND.2018689-SP) | |
Enumeration Date | 2018-07-26 |
Last Update Date | 2019-07-26 |