NPI | 1922026905 |
---|---|
Former Name | ERIN SIOBHAN TULLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004323) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000003121) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-07-09 |