NPI | 1003343351 |
---|---|
Former Name | MOLLY JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-7318) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-TMP-5866) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2025-04-26 |