| NPI | 1023437332 |
|---|---|
| Former Name | YVONNE MARIE ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK SLPS482) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 482) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2018-08-15 |