NPI | 1386770006 |
---|---|
Former Name | MEREDITH LEIGH OUELLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002769) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2011-03-10 |