NPI | 1760811608 |
---|---|
Former Name | ELISABETH BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 61104804) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002920) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2020-10-21 |