NPI | 1508084237 |
---|---|
Former Name | JOHANNA DAWN FRENSEMEIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002819A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002819) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2014-11-14 |