NPI | 1689289704 |
---|---|
Former Name | ALLYSON K MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ AZ12457) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ TSLP12457) |
Enumeration Date | 2020-09-15 |
Last Update Date | 2022-05-11 |