NPI | 1154898039 |
---|---|
Former Name | STEPHANIE COTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11112) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-10-29 |
Last Update Date | 2020-10-16 |