NPI | 1134797483 |
---|---|
Former Name | PLESHETTE SHONTEE JOHNSON-KELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC SLP.7629) |
Enumeration Date | 2021-06-14 |
Last Update Date | 2021-09-29 |