| NPI | 1255811980 |
|---|---|
| Former Name | BETHANY MICHELLE RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010908) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114433) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2021-09-30 |