NPI | 1104914126 |
---|---|
Former Name | MINDI TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 140964) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8902) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2019-04-09 |