NPI | 1467893651 |
---|---|
Former Name | JULIE ELIZABETH CHERYL TREFZGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007074) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2014-11-04 |