| NPI | 1649813130 |
|---|---|
| Former Name | KAYLEE MICHAELE HENMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13402) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 7101005768) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-05-12 |