| NPI | 1871832147 |
|---|---|
| Former Name | BETHANIE JOY LECUREUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011489) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011197) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-04-22 |