| NPI | 1922386168 |
|---|---|
| Former Name | BREANNA MARIE SUTHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77930) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2022-05-11 |