| NPI | 1528740321 |
|---|---|
| Former Name | ALLISON MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1839) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12066) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |