| NPI | 1891117990 |
|---|---|
| Former Name | KELLY JO WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 022776-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022776-1) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2020-04-14 |