NPI | 1124191507 |
---|---|
Former Name | TOMI LYNN WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60122969) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP17814) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2023-10-27 |