NPI | 1841334877 |
---|---|
Former Name | DEIRDRE THERESA CROWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010287) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 010267) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2012-02-08 |