| NPI | 1780954537 |
|---|---|
| Former Name | LISA J EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010836) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2024-05-22 |