NPI | 1962956565 |
---|---|
Former Name | GRACE KRISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005547) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242004137) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2023-11-27 |