NPI | 1356980791 |
---|---|
Former Name | WENDY LYNN VASTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP29299) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61337301) |
235Z00000X Speech-Language Pathologist, (Licence: CA 29299) | |
235Z00000X Speech-Language Pathologist, (Licence: PA SL015631) | |
Enumeration Date | 2020-01-02 |
Last Update Date | 2025-09-11 |