NPI | 1902276900 |
---|---|
Former Name | JANE STEVENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2603) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 14091304) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2024-12-06 |