NPI | 1013309012 |
---|---|
Former Name | BROOKE TALCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1944) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76780) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2023-06-22 |