NPI | 1538829221 |
---|---|
Former Name | EMILY CLIFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010633) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000857) |
Enumeration Date | 2021-12-22 |
Last Update Date | 2024-08-30 |