NPI | 1023185808 |
---|---|
Former Name | ANN MARIE KUBEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008166) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3682) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2013-06-12 |