NPI | 1720219983 |
---|---|
Former Name | STEPHANIE LAUREN HOTALING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005783) |
Enumeration Date | 2009-08-05 |
Last Update Date | 2020-08-19 |