NPI | 1184941817 |
---|---|
Former Name | JANIS LYNN GREIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9037) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SL009843) |
Enumeration Date | 2010-04-20 |
Last Update Date | 2014-12-10 |