NPI | 1780867838 |
---|---|
Former Name | SARAH RONGSTAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 5777) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1080) |
235Z00000X Speech-Language Pathologist, (Licence: MT 1156) | |
Enumeration Date | 2007-12-12 |
Last Update Date | 2020-10-07 |