NPI | 1306156849 |
---|---|
Former Name | ADRIENNE CATARINA WATERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 8052271-4102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18594) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2011-09-08 |