| NPI | 1225653025 |
|---|---|
| Former Name | KELSEY R MAZOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-07-15 |