NPI | 1548699937 |
---|---|
Former Name | COURTNEY MICHELLE REBICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60407071) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2017-02-16 |