NPI | 1184063034 |
---|---|
Former Name | RANDI LYNN BAUMGARTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33382) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2013-06-24 |
Last Update Date | 2022-09-02 |