NPI | 1770151292 |
---|---|
Former Name | LAUREN MICHELLE GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77802) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01448) |
Enumeration Date | 2021-06-11 |
Last Update Date | 2023-01-27 |