NPI | 1629692686 |
---|---|
Former Name | EMILY ANNE BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011424) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003093) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2022-04-06 |