NPI | 1942586912 |
---|---|
Former Name | LAURA GODLASKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16621) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 142433) |
Enumeration Date | 2011-10-22 |
Last Update Date | 2025-09-29 |