NPI | 1487951174 |
---|---|
Former Name | ABIGAIL MARIE GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14062) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0454794) |
Enumeration Date | 2011-02-16 |
Last Update Date | 2015-09-29 |