NPI | 1376888420 |
---|---|
Former Name | CATHERINE ANN ELLIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008225) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 107995) |
Enumeration Date | 2012-11-30 |
Last Update Date | 2013-07-19 |