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 |