NPI | 1831751304 |
---|---|
Former Name | MIRANDA ELIZABETH MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 113528264104) |
Enumeration Date | 2019-07-03 |
Last Update Date | 2023-04-05 |