NPI | 1992194773 |
---|---|
Former Name | ERICKA DOAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225500000X Specialist/Technologist (Licence: IL 146008374) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008374) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2023-08-03 |