NPI | 1679174627 |
---|---|
Former Name | LINDSEY MULLIKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MT SLP-SP-LIC-10676) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO 663) |
Enumeration Date | 2020-11-05 |
Last Update Date | 2024-08-06 |