NPI | 1083289110 |
---|---|
Former Name | MIKAILA GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5262-154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2021-05-21 |
Last Update Date | 2022-11-17 |