NPI | 1114277076 |
---|---|
Former Name | SARAH SLUSAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S4523) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11835) |
Enumeration Date | 2012-09-18 |
Last Update Date | 2022-02-24 |