NPI | 1942612221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 11613) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 2014211) |
Enumeration Date | 2014-05-21 |
Last Update Date | 2016-12-12 |