NPI | 1891934014 |
---|---|
Former Name | VALARIE KAY ZIMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1469) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 1207) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2022-09-14 |