NPI | 1346501954 |
---|---|
Former Name | DIANE ELIZABETH MCALLISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19920) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021649-1) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2022-08-12 |