NPI | 1053682013 |
---|---|
Former Name | HOLLY E GUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA1189) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz 5709) |
Enumeration Date | 2012-01-23 |
Last Update Date | 2015-02-27 |