NPI | 1962536425 |
---|---|
Former Name | GWEN ALYSON GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA14673) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL004320L) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2023-07-11 |