| NPI | 1912320193 |
|---|---|
| Former Name | MELISSA ANNE GILLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11337) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND. 2013205) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2016-08-24 |