NPI | 1316313786 |
---|---|
Former Name | DEANNA CLARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112630) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 39238) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2025-03-17 |