| NPI | 1184363368 |
|---|---|
| Former Name | MICKAYLA M WENZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001584) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22008049A) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-05-08 |