NPI | 1407405517 |
---|---|
Former Name | CEARA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015938) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2019-09-11 |
Last Update Date | 2024-05-31 |