NPI | 1114416682 |
---|---|
Former Name | BRITTNEY LAUREN BERES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116407) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-05-09 |
Last Update Date | 2021-11-09 |