NPI | 1811229800 |
---|---|
Former Name | KELLIN MCKINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001712) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4608) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2025-03-07 |