| NPI | 1619580479 |
|---|---|
| Former Name | CHEYANNE BERENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010092) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000599) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2023-06-08 |