NPI | 1871087064 |
---|---|
Former Name | VALYNCIA HENDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 200056) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7515) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2018-06-20 |