| NPI | 1700134053 |
|---|---|
| Former Name | LAUREN THERESA POTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IN 22006190A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA SP 19865) |
| 235Z00000X Speech-Language Pathologist (Licence: AZ SLP5514) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2018-04-11 |