NPI | 1992826556 |
---|---|
Former Name | ANGELA MENLOVE MCKINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 372312-4202) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-12-09 |