| NPI | 1205465358 |
|---|---|
| Former Name | TAYLOR NOELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2399) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14229935) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |