NPI | 1861628216 |
---|---|
Former Name | CHRISTA L. COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2062) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1186) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2018-09-04 |