NPI | 1831242825 |
---|---|
Former Name | JESSICA A BUGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3241) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006836) |
Enumeration Date | 2007-01-21 |
Last Update Date | 2023-11-29 |