| NPI | 1811419062 |
|---|---|
| Former Name | STEPHANIE RENEE GASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 14257417) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016029888) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-07-21 |