NPI | 1700547486 |
---|---|
Former Name | ABBY DANIELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S4914) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7218) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2024-10-29 |