NPI | 1407403785 |
---|---|
Former Name | EMILY TUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002210) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 14256850) |
Enumeration Date | 2019-08-21 |
Last Update Date | 2025-03-23 |