| NPI | 1447752191 |
|---|---|
| Former Name | KAYLIE FERNALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27458) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE11621) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2022-06-14 |