| NPI | 1194373076 |
|---|---|
| Former Name | STEPHANIE WAYNETTE KIRKLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019027890) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2020-08-14 |