NPI | 1891276853 |
---|---|
Former Name | AISHA L THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007380) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010278) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2022-06-07 |