NPI | 1861927725 |
---|---|
Former Name | LAUREN TOLAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9457) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9623) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2017-04-27 |