NPI | 1235567835 |
---|---|
Former Name | ALEXANDRA JOYCE LATHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2013-10-17 |
Last Update Date | 2021-06-28 |