| NPI | 1609121946 |
|---|---|
| Former Name | STEFANIE LEAFBLAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6769) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 107673) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2018-03-17 |