NPI | 1124322805 |
---|---|
Former Name | CLAIRE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP19363) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3462-154) |
Enumeration Date | 2011-01-10 |
Last Update Date | 2018-03-17 |