NPI | 1366869851 |
---|---|
Former Name | CHAMONIX OLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CT 003317) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 013479) |
235Z00000X Speech-Language Pathologist (Licence: MA SP-9073-SL) | |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-03-24 |