NPI | 1407311640 |
---|---|
Former Name | NATALIE JEAN SANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 27904) |
Enumeration Date | 2019-02-01 |
Last Update Date | 2021-04-06 |