NPI | 1265084891 |
---|---|
Former Name | ALANA RAE BUCEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11918) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP11918) |
Enumeration Date | 2019-07-13 |
Last Update Date | 2022-08-31 |