NPI | 1063060044 |
---|---|
Former Name | FLORENCE ANNE SCHAUMBURG PERQUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7122) |
Enumeration Date | 2019-09-03 |
Last Update Date | 2019-09-03 |