| NPI | 1649617390 |
|---|---|
| Former Name | ELIZABETH ANN THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-2335) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |