NPI | 1992152318 |
---|---|
Former Name | BRITTANY MAPLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001322) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA sp23322) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2022-11-07 |