NPI | 1194107151 |
---|---|
Former Name | LAURA LEE CLAUSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1735) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 9399257-4102) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2016-10-26 |