NPI | 1275772881 |
---|---|
Former Name | BROOKE ELLEN SELIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP2700) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P8135) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2022-05-18 |