NPI | 1184288532 |
---|---|
Former Name | RACHEL JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004385) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111981) |
Enumeration Date | 2019-04-30 |
Last Update Date | 2025-08-15 |