NPI | 1548819758 |
---|---|
Former Name | MACKENZIE CHRISTINE BARBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MI 7101007230) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2019-09-10 |
Last Update Date | 2024-08-12 |