NPI | 1326696345 |
---|---|
Former Name | ELIZABETH JANE STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13783) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6983) |
Enumeration Date | 2019-09-03 |
Last Update Date | 2019-09-03 |