NPI | 1609254614 |
---|---|
Former Name | SARAH ILENE BUTCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114704) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13518) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2021-09-30 |