NPI | 1508243593 |
---|---|
Former Name | MELANIE DANIELLE BLANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001034) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2015-04-29 |
Last Update Date | 2021-04-07 |