NPI | 1467959882 |
---|---|
Former Name | SHELBY HURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 03481601) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-04-11 |
Last Update Date | 2024-12-06 |