NPI | 1285196154 |
---|---|
Former Name | REBEKAH ANNE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11668) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2203001029) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2025-09-12 |