NPI | 1518419571 |
---|---|
Former Name | MEGAN TREDWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006537A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013528) |
Enumeration Date | 2016-10-25 |
Last Update Date | 2017-03-09 |