| NPI | 1760747190 |
|---|---|
| Former Name | WHITNEY JEAN BRANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11660) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR P8512) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |