NPI | 1831425610 |
---|---|
Former Name | EMILY J JUSTICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012262) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1169) |
235Z00000X Speech-Language Pathologist, (Licence: OH SP-9219) | |
Enumeration Date | 2009-10-28 |
Last Update Date | 2023-05-08 |