NPI | 1275044364 |
---|---|
Former Name | STEPHANIE HANSON HAYDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3406) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2017-10-17 |
Last Update Date | 2021-02-16 |