NPI | 1598157190 |
---|---|
Other Name | SHAWNA POWELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2015-02-19 |
Last Update Date | 2025-06-11 |