NPI | 1033502646 |
---|---|
Former Name | LISA DOBMEIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14544) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 7046) |
Enumeration Date | 2015-03-07 |
Last Update Date | 2019-02-07 |