NPI | 1881427938 |
---|---|
Former Name | BRANDI LEA VANBROCKLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 37359) |
Enumeration Date | 2024-08-23 |
Last Update Date | 2024-08-23 |