NPI | 1316505431 |
---|---|
Former Name | AUGUSTA ZENDE REISLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009535) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000272) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2022-08-11 |