NPI | 1134346075 |
---|---|
Former Name | VICTORIA BLEVINS CHISHOLM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004980) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00937) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2023-02-02 |