| NPI | 1457847857 |
|---|---|
| Former Name | REBECCA MARIE BOURQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 8312) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114646) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2022-04-25 |