NPI | 1649634973 |
---|---|
Former Name | RACHEL THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013015137) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3572) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2016-08-08 |