NPI | 1952524530 |
---|---|
Former Name | REGINA MICHELLE CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002357A) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |