NPI | 1699125575 |
---|---|
Former Name | PATRICIA ALLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 0003653) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NM 5921) |
235Z00000X Speech-Language Pathologist (Licence: MI 7101003834) | |
Enumeration Date | 2016-06-21 |
Last Update Date | 2019-09-22 |