NPI | 1114442969 |
---|---|
Former Name | EMILY PAIGE MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008587) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19141) |
Enumeration Date | 2017-08-12 |
Last Update Date | 2021-07-08 |