NPI | 1417698473 |
---|---|
Former Name | BRIANA KATHLEEN ESSINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021001185) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2022-04-05 |