NPI | 1417156282 |
---|---|
Former Name | SHALINN D GINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015027876) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2909) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2024-05-24 |