| NPI | 1316112519 |
|---|---|
| Former Name | SUZAN L MCKENNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12777) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7357) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-10-23 |