NPI | 1962140376 |
---|---|
Former Name | ZOE CECIL RANDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119263) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-05-25 |
Last Update Date | 2023-10-05 |