NPI | 1619957800 |
---|---|
Former Name | BETH-ANN GRIESSER RAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006889) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7657) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2019-04-10 |