NPI | 1356888382 |
---|---|
Former Name | MEGAN GIBLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109057) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11143) |
Enumeration Date | 2017-01-29 |
Last Update Date | 2017-01-29 |