NPI | 1528247889 |
---|---|
Former Name | REBEKAH MARIE PINEGAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2655) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P8065) |
Enumeration Date | 2007-11-02 |
Last Update Date | 2012-03-29 |