NPI | 1538546551 |
---|---|
Former Name | WHITNEY HOLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1412) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14050634) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2019-09-26 |