NPI | 1487794061 |
---|---|
Former Name | YVETTE M. JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05168) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2007-02-06 |
Last Update Date | 2023-09-25 |