NPI | 1194075218 |
---|---|
Former Name | STEPHANIE S MCANLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12304) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5933) |
Enumeration Date | 2012-09-17 |
Last Update Date | 2024-06-20 |