NPI | 1164524245 |
---|---|
Former Name | COURTNEY JOAN DRISCOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 01710) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008881) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2007-07-08 |