| NPI | 1578283396 |
|---|---|
| Former Name | LA TOSHIA BOUVIER NEELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61222749) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000001847) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |