NPI | 1114933389 |
---|---|
Former Name | JANINE LAFRANCE WALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005093) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9758) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2009-05-12 |