NPI | 1023504958 |
---|---|
Former Name | RACHAEL DANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6175) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-07-03 |
Last Update Date | 2020-12-07 |