NPI | 1093215444 |
---|---|
Former Name | ANGELA E SIEGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60870454) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO slp.0003042) |
Enumeration Date | 2018-02-12 |
Last Update Date | 2019-01-15 |