NPI | 1700332244 |
---|---|
Former Name | KAYLEIGH SAWALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4301) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2016-08-25 |
Last Update Date | 2021-03-22 |