| NPI | 1740536242 |
|---|---|
| Former Name | ERICA S STEVENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 002258) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002318) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2014-08-08 |