NPI | 1437529310 |
---|---|
Former Name | CASEY WILLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001581) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2015-10-05 |
Last Update Date | 2023-09-12 |