NPI | 1689706277 |
---|---|
Former Name | FELICIA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 3787) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NE 2781) |
235Z00000X Speech-Language Pathologist, (Licence: LA 09125930) | |
Enumeration Date | 2007-03-10 |
Last Update Date | 2024-09-30 |