NPI | 1194060632 |
---|---|
Former Name | RENEE L SPRAGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP8368) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ 5879) |
Enumeration Date | 2012-12-10 |
Last Update Date | 2015-10-02 |