NPI | 1811323546 |
---|---|
Former Name | ELIZABETH OMAIVBOJE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12848) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5337) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2023-03-07 |