NPI | 1811123060 |
---|---|
Former Name | ANGELA CHANCEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5772) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2009-06-02 |
Last Update Date | 2023-06-23 |