NPI | 1295494060 |
---|---|
Other Name | RENEE THERESE FOERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2022038694) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 5187) |
Enumeration Date | 2021-12-09 |
Last Update Date | 2024-06-21 |