NPI | 1538385901 |
---|---|
Former Name | MICHEA LYNN BELLEMEUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4671) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003227) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2011-03-03 |