NPI | 1245754514 |
---|---|
Former Name | CLAREY REBEKAH ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 1403018) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AR 202516) |
Enumeration Date | 2017-07-28 |
Last Update Date | 2024-03-05 |