NPI | 1063999803 |
---|---|
Former Name | PAIGE JEAN DRAHOTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2356) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-07-24 |
Last Update Date | 2019-09-19 |