NPI | 1083240873 |
---|---|
Former Name | KENDALL NICOLE HOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120109) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-20-115418) |
Enumeration Date | 2020-03-12 |
Last Update Date | 2024-01-24 |