| NPI | 1932524832 |
|---|---|
| Former Name | KELLY HARROLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11276) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND. 2013314) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2022-08-15 |