NPI | 1104326255 |
---|---|
Former Name | MOMILANI DEANN DUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 38921) |
Enumeration Date | 2018-02-15 |
Last Update Date | 2018-02-15 |