| NPI | 1679036255 |
|---|---|
| Former Name | NICOLE BEVERLY SCHOENBRUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 09130) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-05-24 |