NPI | 1619269131 |
---|---|
Former Name | ANNA LANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015714) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP 2766) |
Enumeration Date | 2011-05-03 |
Last Update Date | 2022-09-13 |