NPI | 1770602146 |
---|---|
Former Name | LYNNETTE ANN PAULL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 1185) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-09 |