NPI | 1871730473 |
---|---|
Former Name | ERIN MARIE REARDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 10) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46001845A) |
Enumeration Date | 2009-01-19 |
Last Update Date | 2024-01-03 |