NPI | 1932484672 |
---|---|
Former Name | HOLLY E MANNSCHRECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12415) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005158) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2022-05-11 |