| NPI | 1093952574 |
|---|---|
| Former Name | BRENDA MARIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006669) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA SI60030945) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2023-08-18 |