| NPI | 1841787280 |
|---|---|
| Former Name | RACHELLE ALICE LEIDING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID 3327) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22006) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |