NPI | 1720272883 |
---|---|
Former Name | LISA SHANTELL DUNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NC 0144) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2021-03-30 |