NPI | 1912084971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH Sp.06882) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-6882) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-11-17 |