NPI | 1508322124 |
---|---|
Former Name | CORINNE MCGOWND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011222) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114526) |
Enumeration Date | 2019-02-19 |
Last Update Date | 2024-01-17 |