| NPI | 1285177626 |
|---|---|
| Former Name | KELSEY MARIE CHURCHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA10360) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2021-04-16 |