| NPI | 1003386954 |
|---|---|
| Former Name | LAURA PREHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116030) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 6590) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2019-08-27 |