NPI | 1033558036 |
---|---|
Former Name | DANIELLE LUEBKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109835) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002554) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2018-08-20 |