NPI | 1255973004 |
---|---|
Former Name | LAURA BLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004101) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015031) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2019-10-14 |
Last Update Date | 2024-02-08 |