NPI | 1255670428 |
---|---|
Former Name | CASSANDRA ROCHELLE RETZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2010032834) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2013-02-07 |