| NPI | 1205662384 |
|---|---|
| Former Name | GRACE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 5625) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2023026227) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2026-03-05 |