NPI | 1487933388 |
---|---|
Former Name | BRIDGETTE BURT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012708) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021223-1) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2024-09-12 |