NPI | 1285018390 |
---|---|
Former Name | MELISSA KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0006031) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP22944) |
235Z00000X Speech-Language Pathologist, (Licence: GA 009761) | |
Enumeration Date | 2015-07-17 |
Last Update Date | 2025-08-26 |