NPI | 1649429606 |
---|---|
Former Name | JUDITH M. GEITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 3506) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP0527) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2009-04-15 |