NPI | 1477851426 |
---|---|
Former Name | LAURA AUGUSTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 9029) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 12103911) |
Enumeration Date | 2011-02-28 |
Last Update Date | 2011-02-28 |