NPI | 1003808775 |
---|---|
Former Name | CHERI DANIELLE GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 7338662-4102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102040) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2021-12-06 |