NPI | 1053700997 |
---|---|
Former Name | MAGHAN KENSI ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 5052) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KY SLPLPA00211730) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2015-01-15 |