NPI | 1043702657 |
---|---|
Former Name | JESSICA ANNELIESE HUGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011328) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004416) |
235Z00000X Speech-Language Pathologist, (Licence: NC 13452) | |
Enumeration Date | 2018-05-31 |
Last Update Date | 2024-10-14 |