NPI | 1083151104 |
---|---|
Former Name | ZOE LORETTA ALLGOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 4225) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3958) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2018-09-04 |