| NPI | 1841523271 |
|---|---|
| Former Name | TARA KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 4299) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1260) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2013-10-07 |