NPI | 1447634688 |
---|---|
Former Name | ALEXA MARIE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08127) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01111L) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2018-03-17 |