| NPI | 1720753148 |
|---|---|
| Former Name | PAIGE MICHAELA RICHMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119296) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 41529) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-05-31 |