| NPI | 1356011894 |
|---|---|
| Former Name | MEGAN RENEE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001765) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 6320) | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-09-13 |