NPI | 1255700969 |
---|---|
Former Name | MICHAELA CULLINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7575) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001477) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2019-11-12 |