NPI | 1679055990 |
---|---|
Former Name | DEVIN PAIGE RILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011365) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46003406A) |
Enumeration Date | 2018-09-04 |
Last Update Date | 2022-03-14 |