NPI | 1952941429 |
---|---|
Former Name | BRIANA AUDREY PALLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14217) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 029419) |
Enumeration Date | 2020-01-13 |
Last Update Date | 2021-10-22 |