NPI | 1376667311 |
---|---|
Former Name | ANDREA LYNN ALBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7431) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015265) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-07-08 |