NPI | 1053761437 |
---|---|
Former Name | RAEGAN M GUELICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 144512) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-838) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2020-02-05 |