| NPI | 1407577505 |
|---|---|
| Former Name | ERICA GLIDEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5852) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14358882) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 116390) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-07-03 |