| NPI | 1205694478 |
|---|---|
| Former Name | ABIGAIL ESTHER MACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KS 4177) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: MO 2024006576) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2025-07-29 |