NPI | 1740549872 |
---|---|
Former Name | JAIME LEIGH HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001620) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16397) |
235Z00000X Speech-Language Pathologist, (Licence: 12152884) | |
Enumeration Date | 2012-05-09 |
Last Update Date | 2020-08-12 |