NPI | 1992105373 |
---|---|
Former Name | DENISE HEATHER GREENWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH COND.2015048-SP) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH SP.11804) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2016-12-31 |