NPI | 1801669270 |
---|---|
Former Name | BRANDEE LEA GRESHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 43518) |
Enumeration Date | 2023-11-06 |
Last Update Date | 2023-11-06 |