NPI | 1306547013 |
---|---|
Former Name | JULIANNE L MONCEAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 518256) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134586) |
Enumeration Date | 2023-03-10 |
Last Update Date | 2023-03-10 |