NPI | 1962933606 |
---|---|
Former Name | LEAH HAUSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005209) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009477) |
Enumeration Date | 2017-03-24 |
Last Update Date | 2017-03-24 |