NPI | 1659806982 |
---|---|
Former Name | RACHEL RUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013853) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004193) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2024-01-04 |