NPI | 1043774656 |
---|---|
Other Name | MANDY J HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 2000) |
235Z00000X Speech-Language Pathologist, (Licence: MT 181) | |
Enumeration Date | 2019-01-28 |
Last Update Date | 2022-05-11 |