NPI | 1629596127 |
---|---|
Former Name | MEGAN LYNN GRAFSGARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 805) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 747-PROV) |
Enumeration Date | 2017-09-05 |
Last Update Date | 2022-07-21 |