NPI | 1376103861 |
---|---|
Former Name | BROOKE ELIZABETH SCHUTRUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028839) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 10434587-4102) |
Enumeration Date | 2019-06-17 |
Last Update Date | 2021-11-08 |