| NPI | 1952965410 |
|---|---|
| Former Name | SARAH BETH DERIEMACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6415) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2020-08-12 |