NPI | 1023410800 |
---|---|
Former Name | ALEXANDRA LEONARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22770) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5170) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2015-09-18 |