| NPI | 1558767772 |
|---|---|
| Former Name | JULISSA GAYLE SARGEANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107723) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13419) |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2022-10-07 |