NPI | 1548512072 |
---|---|
Former Name | MOLLI BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL Sa13005) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
235Z00000X Speech-Language Pathologist, (Licence: FL S7 5911) | |
Enumeration Date | 2012-10-08 |
Last Update Date | 2017-12-01 |