NPI | 1467002113 |
---|---|
Former Name | KELSEE COX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015693) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA P-SLP-0893) |
Enumeration Date | 2019-09-16 |
Last Update Date | 2023-05-15 |