| NPI | 1346069713 | 
|---|---|
| Other Name | MACKENZIE ALLISON LEE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP15707) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30999) | 
| Enumeration Date | 2024-10-03 | 
| Last Update Date | 2024-10-03 |