NPI | 1770919441 |
---|---|
Former Name | COURTNEY ANN BERNU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1332) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2013-09-25 |
Last Update Date | 2019-11-14 |