NPI | 1922654870 |
---|---|
Former Name | LAUREN BRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH cond.20191081-SP) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 4999) |
Enumeration Date | 2019-08-15 |
Last Update Date | 2021-09-16 |