NPI | 1235377284 |
---|---|
Former Name | BETSY LYNN BRAWNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 1650) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3447) |
Enumeration Date | 2009-01-29 |
Last Update Date | 2009-01-29 |