NPI | 1588956353 |
---|---|
Former Name | ERIE JACQUELINE ADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12841) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106385) |
235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00392600) | |
235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8295) | |
Enumeration Date | 2011-05-11 |
Last Update Date | 2015-08-17 |