| NPI | 1487263620 |
|---|---|
| Former Name | AUDREY SHERIDAN WENZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14319) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 60993771) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2023-08-18 |