NPI | 1346794807 |
---|---|
Former Name | JESSICQ TAYLOR HUTCHISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026150) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP-2023-0180) |
Enumeration Date | 2016-08-12 |
Last Update Date | 2024-09-26 |