NPI | 1124196142 |
---|---|
Former Name | SARAH JANE STOUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AL 3380) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 15379) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2013-02-12 |