NPI | 1205153616 |
---|---|
Former Name | SARA GABRIELLE CHANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP12784) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2010-04-23 |
Last Update Date | 2023-03-23 |