NPI | 1497048359 |
---|---|
Former Name | JULIET LEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL60544605) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 117696) |
235Z00000X Speech-Language Pathologist (Licence: NC 13513) | |
Enumeration Date | 2011-05-25 |
Last Update Date | 2021-01-04 |