NPI | 1841651932 |
---|---|
Former Name | SARA WEISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115410) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SLP.LL.60632603) |
Enumeration Date | 2016-03-16 |
Last Update Date | 2019-05-07 |