NPI | 1518404805 |
---|---|
Former Name | SARAH VANDERBOSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006778A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46003016A) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2022-08-02 |