NPI | 1528541570 |
---|---|
Former Name | ERICA KAYLA PAYSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77351) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-09-14 |
Last Update Date | 2024-03-20 |