NPI | 1285214320 |
---|---|
Former Name | COURTNYE MICHELLE NEICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 37242) |
Enumeration Date | 2021-04-13 |
Last Update Date | 2024-09-04 |