NPI | 1417101098 |
---|---|
Former Name | LAUREN MARIE UNFLAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 76766SP-SL) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1288) |
Enumeration Date | 2008-11-10 |
Last Update Date | 2021-06-15 |