| NPI | 1821351115 |
|---|---|
| Former Name | MICAH R FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 2764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2694) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-09-15 |