| 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 |