NPI | 1538632419 |
---|---|
Former Name | RACHEL BRANNEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP13363) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 242527) |
Enumeration Date | 2019-01-03 |
Last Update Date | 2020-07-16 |