NPI | 1710019971 |
---|---|
Former Name | REBECCA ANN YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108034) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015555-1) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2023-01-19 |