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 |