NPI | 1528254489 |
---|---|
Former Name | MILDRED ENOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 8978) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7099) |
235Z00000X Speech-Language Pathologist, (Licence: OK 3327) | |
Enumeration Date | 2007-09-24 |
Last Update Date | 2023-06-27 |