| NPI | 1720757289 |
|---|---|
| Former Name | KYLE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 12464383-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014669) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-03-21 |