| NPI | 1336515485 |
|---|---|
| Former Name | KELLY NICOLE WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15823) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 7191) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2021-08-30 |