NPI | 1881351906 |
---|---|
Former Name | DEIDRA SADE DILLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AR 201647) |
Enumeration Date | 2021-11-23 |
Last Update Date | 2024-07-30 |