NPI | 1962806760 |
---|---|
Former Name | PAMELA JEAN OSAGIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA9128) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2014-10-22 |