NPI | 1356026439 |
---|---|
Former Name | MEGAN RYAN EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 16790) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 61441777) |
Enumeration Date | 2023-06-16 |
Last Update Date | 2023-06-16 |