NPI | 1124067764 |
---|---|
Former Name | CHRISTINE ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 13006) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA LL00003915) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-09-28 |