NPI | 1942504147 |
---|---|
Former Name | ANGELA JEAN SHARP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 00003466) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 13409) |
Enumeration Date | 2011-01-02 |
Last Update Date | 2015-08-11 |