NPI | 1255655627 |
---|---|
Other Name | LISSA JEAN BUYSKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8176) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4820) |
235Z00000X Speech-Language Pathologist, (Licence: WA LL60137807) | |
Enumeration Date | 2010-03-15 |
Last Update Date | 2020-07-06 |