NPI | 1881095818 |
---|---|
Former Name | CARA THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014024684) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015020387) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2019-02-04 |