| NPI | 1821573056 |
|---|---|
| Former Name | KORI MANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6708) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 9832733-4102) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2023-07-18 |