| NPI | 1598427510 |
|---|---|
| Former Name | MEGAN ELIZABETH STOUTENBURGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3141) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2023-03-06 |