NPI | 1659957728 |
---|---|
Former Name | KAYLA KRISTINE CEMPA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21850) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 033152-01) |
Enumeration Date | 2021-03-19 |
Last Update Date | 2024-09-18 |