NPI | 1356094890 |
---|---|
Former Name | SHAYLA LYNN EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 259992) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01223200) |
Enumeration Date | 2022-02-03 |
Last Update Date | 2023-10-23 |