NPI | 1518101047 |
---|---|
Former Name | LORI SMITH GOODNATURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9112) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8499) |
Enumeration Date | 2009-04-28 |
Last Update Date | 2025-01-16 |