NPI | 1972157451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14291) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2019-08-01 |
Last Update Date | 2024-11-21 |