NPI | 1710791355 |
---|---|
Former Name | ALLISON JILLETTE PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2024-0125) |
Enumeration Date | 2025-02-04 |
Last Update Date | 2025-02-04 |