NPI | 1306221965 |
---|---|
Former Name | STEFANI HENSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S4397) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012734) |
Enumeration Date | 2015-07-24 |
Last Update Date | 2018-03-17 |