NPI | 1093213928 |
---|---|
Former Name | BEVERLY ANN DUBOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA11023) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-01-25 |