NPI | 1992363063 |
---|---|
Former Name | ABIGAYL MARIE HOCKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5169) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4320) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2019-06-03 |