NPI | 1780202101 |
---|---|
Former Name | TORI BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12351) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA12351) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2023-09-30 |