NPI | 1386955300 |
---|---|
Former Name | RINDA ELIZABETH BOEHM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP22771) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 5003) |
Enumeration Date | 2010-06-24 |
Last Update Date | 2020-05-21 |