NPI | 1811370778 |
---|---|
Former Name | CLAIRE BUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 17117) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013713) |
235Z00000X Speech-Language Pathologist, (Licence: CT 004993) | |
Enumeration Date | 2015-07-09 |
Last Update Date | 2022-07-21 |