| NPI | 1578093159 |
|---|---|
| Former Name | KASSIDY SHAYE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4257) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16338) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-10-04 |