| NPI | 1528587169 |
|---|---|
| Former Name | LAURA CAMILLE KINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010213) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 6289) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2019-10-14 |