NPI | 1396807970 |
---|---|
Former Name | CHRISTINE ANN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60920816) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005232) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2023-01-16 |