NPI | 1992313530 |
---|---|
Former Name | MEGAN RENEE LEDFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011861) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003132) |
Enumeration Date | 2020-07-20 |
Last Update Date | 2024-08-28 |