| 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 |