| NPI | 1285116624 |
|---|---|
| Former Name | MARY KATHERINE MACKENZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77343-SP-SL) |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2021-05-06 |