NPI | 1508119264 |
---|---|
Former Name | CORTNEY MARGARET LOCKNANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5208) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105913) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2014-10-23 |