NPI | 1992471734 |
---|---|
Former Name | ANGELA JOY DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004110A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2021-08-20 |
Last Update Date | 2022-12-13 |