NPI | 1881223220 |
---|---|
Former Name | JACQUELINE TAYLOR DAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 10869040-4102) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2020-04-07 |