NPI | 1154679710 |
---|---|
Former Name | ELIZABETH MARIE CROWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1582) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 002236) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2013-12-13 |