NPI | 1407580939 |
---|---|
Former Name | EMILY KATHRYN GILLESPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61337059) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-07-11 |
Last Update Date | 2023-04-20 |