NPI | 1649890765 |
---|---|
Former Name | ALISON STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004368) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 18045) |
Enumeration Date | 2020-04-18 |
Last Update Date | 2024-03-25 |