| NPI | 1144382078 |
|---|---|
| Other Name | ANITA SUE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2425) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 00612) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |