| NPI | 1831697465 |
|---|---|
| Former Name | MEGAN ANN GRISSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146014880) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2076) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2022-11-18 |