| NPI | 1962187013 |
|---|---|
| Former Name | ABIGAIL BOCKHAUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 115947) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 14069497) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |