| NPI | 1407455694 |
|---|---|
| Former Name | KELSEY DOCKTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1844) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 000429723) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-08-07 |