NPI | 1962985481 |
---|---|
Former Name | JENNA SCHOLTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13747) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 2018873) |
Enumeration Date | 2018-09-11 |
Last Update Date | 2021-09-16 |