NPI | 1992240469 |
---|---|
Former Name | SARA MARIE JOO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.8620) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.08620) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2022-07-21 |