NPI | 1588287106 |
---|---|
Former Name | RALEY SMARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 269313) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 263980) |
Enumeration Date | 2020-05-19 |
Last Update Date | 2023-03-06 |