| NPI | 1508249871 |
|---|---|
| Former Name | KAYLA BROOKE GRANTHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14579) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008155) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2021-09-16 |