NPI | 1952757585 |
---|---|
Former Name | SARAH VANSELOUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003151) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2016-05-12 |
Last Update Date | 2024-11-20 |