NPI | 1255665568 |
---|---|
Former Name | BROOKE SUZANNE FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2843) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P8251) |
Enumeration Date | 2009-09-21 |
Last Update Date | 2012-04-10 |