NPI | 1417268558 |
---|---|
Former Name | ANDREA NICOLE PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AK SLPS116) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AK 116) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2020-02-04 |