NPI | 1346532470 |
---|---|
Former Name | LEIGH JUSTICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012908) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9066) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2016-06-16 |