NPI | 1679920532 |
---|---|
Former Name | LINDSAY MOFFITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 284850) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008555) |
Enumeration Date | 2016-05-20 |
Last Update Date | 2024-02-21 |