| NPI | 1447696935 |
|---|---|
| Other Name | BECKY JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013029913) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012019166) |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2022-07-13 |