| 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 |