NPI | 1144506247 |
---|---|
Former Name | LAURA SHEVOKAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 082925) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2841-154) |
235Z00000X Speech-Language Pathologist, (Licence: IL 146009173) | |
Enumeration Date | 2011-11-02 |
Last Update Date | 2023-02-14 |