NPI | 1629626064 |
---|---|
Former Name | ALLISON PAIGE SADRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007243) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006311) |
Enumeration Date | 2019-08-29 |
Last Update Date | 2022-02-09 |