NPI | 1841650728 |
---|---|
Former Name | LAUREN FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16489) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003730) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2021-07-26 |