NPI | 1366970865 |
---|---|
Former Name | JO ANN GOZDECKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ az0655) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
Enumeration Date | 2017-05-27 |
Last Update Date | 2022-07-21 |