NPI | 1962947382 |
---|---|
Former Name | MICHELLE ELIZABETH LEDERGERBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011952) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2017-01-18 |