| NPI | 1285108332 |
|---|---|
| Former Name | PAIGE NICOLE KINCAID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11182) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014623) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2024-09-12 |