NPI | 1992969455 |
---|---|
Former Name | SARA ANN BECKENHAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60894752) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 12128290) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2019-01-22 |