NPI | 1235645128 |
---|---|
Former Name | ANNIE BONNER DUCKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026814) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2017-12-14 |
Last Update Date | 2024-12-16 |