NPI | 1689008344 |
---|---|
Former Name | SANDRA ALLISON FREYALDENHOVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#3062) |
Enumeration Date | 2013-08-29 |
Last Update Date | 2024-05-18 |