| NPI | 1639635923 |
|---|---|
| Former Name | KELLIE JOANN BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33637) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15948) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2024-02-03 |