NPI | 1427438233 |
---|---|
Former Name | MOLLY L GOETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60787898) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012505) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2018-03-26 |