| NPI | 1932682358 |
|---|---|
| Former Name | EVIAN MICHELLE GOODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 8233) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2022-08-08 |