NPI | 1821341546 |
---|---|
Former Name | SARA ANNE VEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106215) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 5164) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2018-03-09 |