NPI | 1316474778 |
---|---|
Former Name | YVONNE STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111321) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 10558) |
Enumeration Date | 2017-05-16 |
Last Update Date | 2017-05-16 |