NPI | 1285243006 |
---|---|
Former Name | HEIDI LENZMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021013749) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4848) |
235Z00000X Speech-Language Pathologist, (Licence: MN 9075) | |
Enumeration Date | 2020-07-28 |
Last Update Date | 2023-05-18 |