NPI | 1003361718 |
---|---|
Former Name | SAMANTHA MARIE GRESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 6903) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ7720) |
235Z00000X Speech-Language Pathologist (Licence: FL SA15832) | |
Enumeration Date | 2016-08-23 |
Last Update Date | 2023-06-06 |