NPI | 1396283164 |
---|---|
Former Name | LINNEA BIRGITTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003515) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5757) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2022-06-06 |