NPI | 1518455682 |
---|---|
Former Name | SHANA ENGRAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26980) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-04-24 |
Last Update Date | 2025-03-04 |