| NPI | 1619464625 |
|---|---|
| Former Name | ELIZABETH MALLORY BUJENOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 235Z00000X) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 235Z00000X) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-03-14 |