NPI | 1679191654 |
---|---|
Former Name | SHANNON MARIE LOONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-07-07 |
Last Update Date | 2023-09-06 |