| NPI | 1760842306 |
|---|---|
| Former Name | ANNE BARRETT POLK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WY SP-642) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-3218) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2019-06-24 |