| NPI | 1578987483 |
|---|---|
| Former Name | LISA HINTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 14064301) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004857) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2019-10-10 |