NPI | 1194419952 |
---|---|
Former Name | CANDICE L SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SLP19878) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14024027) |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-06-13 |