NPI | 1235426479 |
---|---|
Former Name | NICOLE LEIGH HOOTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 5057) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3448) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2013-08-08 |