NPI | 1598881484 |
---|---|
Former Name | KENYA LEIGH WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 5852) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6719) |
235Z00000X Speech-Language Pathologist, (Licence: TX 100535) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2010-01-26 |