NPI | 1306509591 |
---|---|
Former Name | ELIZABETH MERCY ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14103) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006579) |
Enumeration Date | 2021-10-15 |
Last Update Date | 2023-01-16 |