NPI | 1740708932 |
---|---|
Former Name | KINSEY BUCHANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009085) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013631) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2023-08-16 |