NPI | 1548580988 |
---|---|
Former Name | MICHELLE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX TX102927) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102927) |
Enumeration Date | 2010-06-08 |
Last Update Date | 2025-08-11 |