| NPI | 1255755633 |
|---|---|
| Former Name | ELISE KATHRYN LOMBOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13354) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001358) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2021-04-28 |