| NPI | 1780311316 |
|---|---|
| Former Name | KENNEDY BREA BLUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 201971) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2023-09-27 |