NPI | 1558667725 |
---|---|
Former Name | GISELLE CHERISE MCCALLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO MSSLP.0000014) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007496) |
Enumeration Date | 2011-02-04 |
Last Update Date | 2024-06-21 |