NPI | 1114397817 |
---|---|
Former Name | EMILY RIPPON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 16951) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 10110) |
235Z00000X Speech-Language Pathologist, (Licence: CA 24369) | |
Enumeration Date | 2015-10-07 |
Last Update Date | 2019-06-25 |