| NPI | 1669735726 |
|---|---|
| Former Name | KAYLA BETH PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3470) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5787) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2016-08-17 |