NPI | 1831304773 |
---|---|
Former Name | SHAUNA J RUZICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 279430) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
235Z00000X Speech-Language Pathologist, (Licence: IL 146006731) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2025-01-22 |