NPI | 1760974091 |
---|---|
Former Name | ANNA MARIE SANDERFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14297933) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 31960) |
235Z00000X Speech-Language Pathologist, (Licence: ND 1809) | |
235Z00000X Speech-Language Pathologist, (Licence: TX 113421) | |
Enumeration Date | 2018-06-01 |
Last Update Date | 2022-08-29 |