NPI | 1477443059 |
---|---|
Other Name | GRACE HAGOOD |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2025027562) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4141) |
Enumeration Date | 2025-07-07 |
Last Update Date | 2025-08-18 |