NPI | 1134563232 |
---|---|
Former Name | REBECCA FREEH THORNBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007164) |
Additional Taxonomies | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner (Licence: PA SL007164) |
Enumeration Date | 2013-04-19 |
Last Update Date | 2021-08-10 |