NPI | 1699405498 |
---|---|
Former Name | JULIEANNE JOCELYN DOTSON-BOSSERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SD 1064-PROV) |
Enumeration Date | 2022-06-14 |
Last Update Date | 2022-06-14 |