NPI | 1255422218 |
---|---|
Former Name | CAROL ANN WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102234) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 704) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2017-10-24 |