NPI | 1801220595 |
---|---|
Former Name | LINNEA KERSTIN SHEPELUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009116) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10973) |
Enumeration Date | 2013-08-29 |
Last Update Date | 2016-07-21 |