NPI | 1861148199 |
---|---|
Former Name | ELIZABETH ANN HALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7447) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 19801) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2022-02-24 |