NPI | 1972058253 |
---|---|
Former Name | CAMRIE LYNN COPIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: UT 9533113-4102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA SP 24664) |
Enumeration Date | 2016-08-17 |
Last Update Date | 2016-08-17 |