NPI | 1679812911 |
---|---|
Former Name | STEPHANIE MICHELE CONLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006795) |
Enumeration Date | 2013-02-06 |
Last Update Date | 2020-03-05 |