NPI | 1306582861 |
---|---|
Former Name | BROOKE GIDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008809) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-05-09 |
Last Update Date | 2024-06-12 |