NPI | 1710479258 |
---|---|
Former Name | ALLISON L WISELEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 242102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006931A) |
Enumeration Date | 2018-05-31 |
Last Update Date | 2022-08-30 |