| NPI | 1891363131 |
|---|---|
| Former Name | MIRANDA COFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 20122) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46003899A) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2022-11-15 |