NPI | 1265974794 |
---|---|
Former Name | HALEY NICOLE WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003119) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9663) |
Enumeration Date | 2016-11-15 |
Last Update Date | 2018-03-28 |