NPI | 1952808602 |
---|---|
Other Name | RAVEN L GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008184) |
Additional Taxonomies | 106S00000X Behavior Technician |
235Z00000X Speech-Language Pathologist, (Licence: IN 46003834A) | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2022-11-03 |