NPI | 1457010217 |
---|---|
Former Name | BAILEY DUEMMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004529) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19379) |
Enumeration Date | 2021-12-09 |
Last Update Date | 2021-12-09 |