NPI | 1598038705 |
---|---|
Former Name | CHRISTINA T GRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001002) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60254158) |
Enumeration Date | 2012-02-17 |
Last Update Date | 2020-09-25 |