| NPI | 1871905208 |
|---|---|
| Former Name | KAYLEA DANEAN HARDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15187) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 110000) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-01-08 |