NPI | 1497270607 |
---|---|
Former Name | BROOKE MANKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IN 22006934A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IN 46003222A) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2018-07-27 |