NPI | 1508291196 |
---|---|
Former Name | ANGELA S HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8562) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA8562) |
Enumeration Date | 2013-09-13 |
Last Update Date | 2020-09-18 |