NPI | 1457527541 |
---|---|
Former Name | NICOLE LAFFAN STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: MA 713) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5840) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2019-05-14 |