| NPI | 1205312618 |
|---|---|
| Former Name | COURTNEY BROOKE HUFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4501) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018023268) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2019-11-20 |