NPI | 1053653303 |
---|---|
Former Name | ROBERTA JOSEPHINE MORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011064) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2013-03-25 |