NPI | 1992185003 |
---|---|
Former Name | HOLLIE FRYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#3969) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P8909) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2016-06-02 |