NPI | 1265538771 |
---|---|
Former Name | MAUREEN LANEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.004556) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004556) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2022-06-15 |