NPI | 1487274437 |
---|---|
Former Name | CHANDLER FRITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7151000196) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 7101007750) |
Enumeration Date | 2020-04-20 |
Last Update Date | 2023-04-24 |