NPI | 1689182958 |
---|---|
Former Name | VALERIE REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017029774) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-01-19 |
Last Update Date | 2018-01-19 |