NPI | 1255403937 |
---|---|
Former Name | ELIZABETH MARIE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-3028) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
Enumeration Date | 2006-11-15 |
Last Update Date | 2023-03-21 |