NPI | 1164806030 |
---|---|
Former Name | CHRISTINE SORENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NE 2442) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ND 1430) |
Enumeration Date | 2015-07-10 |
Last Update Date | 2020-10-15 |