NPI | 1275911711 |
---|---|
Former Name | LAUREN MOSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3768) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009869) |
Enumeration Date | 2015-05-17 |
Last Update Date | 2022-07-21 |