| NPI | 1134336894 |
|---|---|
| Former Name | SHAWNISE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008715) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004863A) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2025-10-24 |