NPI | 1801956164 |
---|---|
Former Name | SHANNON STERMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 4419) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4419) |
Enumeration Date | 2006-12-09 |
Last Update Date | 2019-08-03 |