| 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 |