NPI | 1134434657 |
---|---|
Former Name | RACHEL DORR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA 60919825) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: WA L-307335) |
235Z00000X Speech-Language Pathologist (Licence: CA 18489) | |
Enumeration Date | 2010-08-09 |
Last Update Date | 2023-08-01 |