NPI | 1740958289 |
---|---|
Former Name | TAYLOR DANIELLE EASTERLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011692) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 7313) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2024-09-20 |