NPI | 1255090973 |
---|---|
Former Name | COURTNEY LEIGH PERKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009900) |
Enumeration Date | 2021-12-09 |
Last Update Date | 2021-12-09 |