NPI | 1508232463 |
---|---|
Former Name | CHELSEY ELIZABETH THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15470) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10874) |
Enumeration Date | 2015-08-14 |
Last Update Date | 2025-02-10 |