NPI | 1548801541 |
---|---|
Former Name | COURTNEY FERRIS DREILING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60886875) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP15986) |
Enumeration Date | 2019-10-01 |
Last Update Date | 2020-08-18 |