NPI | 1699322610 |
---|---|
Former Name | JATINIQUE LUCAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001465) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202010019) | |
Enumeration Date | 2019-08-23 |
Last Update Date | 2024-12-11 |