NPI | 1740797943 |
---|---|
Former Name | ELAINA PEETS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA22339) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MI 7101005013) |
Enumeration Date | 2018-01-09 |
Last Update Date | 2024-07-24 |