NPI | 1023352671 |
---|---|
Former Name | ERIN WUNDERLICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10214) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60302201) |
Enumeration Date | 2012-11-20 |
Last Update Date | 2019-03-14 |