NPI | 1427279033 |
---|---|
Former Name | ELIZABETH D REISS WENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6524) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005260) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2019-03-10 |