NPI | 1790976959 |
---|---|
Former Name | QUINCY WHITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 3680) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3599) |
235Z00000X Speech-Language Pathologist, (Licence: TX 108660) | |
Enumeration Date | 2007-08-05 |
Last Update Date | 2014-08-13 |