NPI | 1730485467 |
---|---|
Former Name | ALLISON FAWCETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06616) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00672400) |
Enumeration Date | 2011-01-27 |
Last Update Date | 2016-04-28 |