| NPI | 1932544491 |
|---|---|
| Former Name | LESLIE RAE ROERK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13152) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012011) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-08-16 |