NPI | 1124764733 |
---|---|
Former Name | MACKENZIE LYNN RAWLINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 12905658-4102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-05-06 |
Last Update Date | 2024-04-16 |