NPI | 1669637989 |
---|---|
Former Name | DIANE KAREN SCHOOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004600) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 1131) |
Enumeration Date | 2008-07-25 |
Last Update Date | 2014-10-24 |