NPI | 1003080334 |
---|---|
Former Name | ALLYSON HATHAWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL009132) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: DE O1-0001359) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2018-01-05 |