NPI | 1114157849 |
---|---|
Former Name | JESSICA ANN DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 0000407) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2009-07-15 |
Last Update Date | 2023-06-05 |