NPI | 1487923371 |
---|---|
Former Name | JOHANNA CLAIRE GROSSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP-2023-0183) |
Enumeration Date | 2011-12-21 |
Last Update Date | 2024-03-20 |