NPI | 1699218818 |
---|---|
Former Name | EMILY ALLEN BRANDJORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA LL60619682) |
Enumeration Date | 2016-11-19 |
Last Update Date | 2024-07-25 |