NPI | 1154735629 |
---|---|
Former Name | ROSEMMA ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 100213) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 528306) |
Enumeration Date | 2014-06-12 |
Last Update Date | 2023-01-16 |