NPI | 1154952687 |
---|---|
Former Name | SHELBY STULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2836) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116509) |
Enumeration Date | 2020-02-03 |
Last Update Date | 2024-12-09 |