NPI | 1831265008 |
---|---|
Former Name | ADRIAN LEIGH BETUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4722) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP4722) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2023-04-10 |