NPI | 1053682427 |
---|---|
Former Name | MEGAN ELISE STANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12086) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5584) |
Enumeration Date | 2012-01-18 |
Last Update Date | 2024-03-06 |