NPI | 1073043899 |
---|---|
Former Name | EMILY ANN PRAUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61342648) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006317A) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2022-10-04 |